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Today, Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks and our team at Dentistry for Children thought we would answer some of the most frequent questions about pediatric dentistry and oral health we hear from parents.

What constitutes a “healthy, balanced diet” for my child?

A healthy, balanced diet contains all the nutrients your child needs to grow, including one serving each of fruits and vegetables, breads and cereals, milk and dairy products, and meat, fish and eggs per day. Make sure your child limits snacking in between meals and limits how frequently they consume food or beverages that contain sugar, which is known to cause tooth decay. Besides pastries, cookies, and candy, sugars are usually found in processed foods such as crackers, cereals, and soda, as well as in condiments like ketchup.

Should my kid give up all foods that contain sugar?

Absolutely not, we simply recommend choosing and serving sugars sparingly. A food with sugar is safer for teeth if it is eaten with a meal, not as a snack. When your child chews during his or her meal, the saliva produced helps neutralize the acids that are found in sugary and starchy foods. Foods that are not easily washed away from your child’s teeth by saliva, water, or milk have more cavity-causing potential.

What causes cavities?

Many types of bacteria live in our mouths—some good, some bad. When these bacteria come into contact with sugary foods left behind on your child’s teeth after eating, acids are produced. These acids then attack the enamel, and eventually eat through the enamel and create holes in the teeth, which Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks and our team call cavities, or caries.

How can I help my child avoid cavities?

This is a great question that we hear a lot. Make sure that your child brushes his teeth twice a day with fluoride toothpaste. Flossing daily is also important, as flossing can reach spots between the teeth that brushing simply can’t. And finally, we encourage you to schedule regular appointments with Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks at our Creve Coeur or St. Charles office so that we can check the state of your child’s teeth and gums, as well as provide a professional cleaning to protect him or her from cavities and gum disease.

What is the best way to clean my baby’s teeth?

We recommend you clean your baby’s gums after feedings with a damp, soft washcloth. This is even before your baby’s first tooth appears. As soon as his or her first tooth does appear, you may begin using a toothbrush with soft bristles and a small head. You can most likely find a toothbrush designed for infants at your local drugstore or ask us for one during your next visit.

What should I do if my child has a toothache?

First, we recommend rinsing the irritated area with warm salt water and placing a cold compress on his or her face if it is swollen. If you have any at home, give your child acetaminophen for any pain, rather than placing aspirin on the affected teeth or gums. Finally, give us a call as soon as possible to schedule an appointment with Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks.

We hope that helps! Please give us a call if you have any questions or ask us next time you visit our office for your child’s appointment with Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks! If you have any other questions, or would like to schedule an appointment, we would love to hear from you.

Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks, as well as our team at Dentistry for Children, would like to give those patients with flex spend, health savings, or insurance benefits a friendly end of the year reminder that it’s high time to schedule your dental visits so you optimize your benefit.

Now is the time to reserve your appointment with us. Space is limited and we tend to get busy around the holidays, so don’t wait to give us a call at our convenient Creve Coeur or St. Charles office!

Getting a cavity seems like delayed punishment for eating that special dessert every weekend or for the few days you forgot to floss. When you are doing everything right with minimal exception and a cavity is diagnosed, it is discouraging. Knowing how cavities form and what causes them is valuable in knowing how to prevent them. In this blog post, Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks will help you understand cavities!

A cavity is not a one-time event. It is actually a symptom of a disease called caries. Tooth decay is a result of an active infection and condition in the mouth. There are ingredients to this infection, which include bacteria, acid, your tooth, and a food source. The main bacterial culprit is S. Mutans. Bacteria live in a housing structure called biofilm. This offers them protection, food, and an ideal replicating environment.

Biofilm can be healthy if there is a balance of good bacteria. When you have caries, the numbers of “bad” bacteria increase and produce an environment where they thrive and therefore cause tooth decay. A main indicator of this is a pH measurement of your saliva.

Several factors can influence the biofilm pH. Foods and beverages all have different pH levels. The lower the number, the higher the acidity. Since acid promotes tooth decay, a beverage like soda will promote a cavity. Water, being neutral, is a good choice to promote healthy oral pH. Healthy eating can still cause cavities. Here is an example of a highly acidic, yet traditionally healthy meal:

Toast with store-bought strawberry jam, and a cup of cottage cheese topped with fresh cranberries.

Instead, here is a better choice, which involves mixing acidic healthy foods with alkaline (non-acidic) foods to reduce the overall pH:

Toast with almond butter, and Greek yogurt topped with fresh blueberries.

The first example will result in a very low pH in the mouth and even in the rest of the body. The second meal mixes highly acidic blueberries with an alkaline Greek yogurt. Dairy products from cows are highly acidic. Toast is acidic because of the yeast and almonds are alkaline.

A natural buffer is saliva. Whenever mouth breathing or medications compromise the saliva flow, the pH is going to drop and caries can go rampant. Getting a cavity is not just about the sweets or forgotten flossing sessions. It is about the pH levels and bacterial management.

For more helpful tips about how to avoid cavities, contact our Creve Coeur or St. Charles office.

Unless you work for an insurance company, you probably do not spend a lot of your time studying all the terminology that dental insurance companies use to describe the treatments and services they cover. If it seems pretty confusing, here are some of the most commonly used dental insurance terms and what they mean.

A Basic Glossary

Annual Maximum–The maximum amount your policy will pay per year for care at Dentistry for Children. It is often divided into costs per individual, and (if you are on a family plan) per family

Co-payment– An amount the patient pays at the time of service before receiving care, and before the insurance pays for any portion of the care

Covered Services– A list of all the treatments, services, and procedures the insurance policy will cover under your contract

Deductible– A dollar amount that you must pay out of pocket each year before the insurance company will pay for any treatments or procedures

Diagnostic/Preventive Services– A category of treatments or procedures that most insurance will cover before the deductible which may include services like preventive appointments with Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks, X-rays, and evaluations

In-Network and Out-of-Network– A list of providers that are part of an insurance company’s “network”

• If you visit in-network providers, the insurance company will typically cover a larger portion of the cost of the care you receive. If you visit someone who is not part of the network, known as an out-of-network provider, the insurance company may pay for a portion of the care, but you will pay a significantly larger share from your own pocket.

Lifetime Maximum– The maximum amount that an insurance plan will pay toward care for an individual or family (if you have an applicable family plan)

• This is not a per-year maximum, but rather a maximum that can be paid over the entire life of the patient.

Limitations/Exclusions– A list of all the procedures an insurance policy does not cover

• Coverage may limit the timing or frequency of a specific treatment or procedure (only covering a certain number within a calendar year), or may exclude some treatments entirely. Knowing the limitations and exclusions of a policy is very important.

Member/Insured/Covered Person/Beneficiary/Enrollee– Someone who is eligible to receive benefits under an insurance plan

Provider– Dr. Varble, Dr. Dill, Dr. Wong, and Dr. Parks or other oral health specialist who provides treatment

Waiting Period– A specified amount of time that the patient must be enrolled with an insurance plan before it will pay for certain treatments; waiting periods may be waived if you were previously enrolled in another dental insurance plan with a different carrier

There are many different insurance options available, so you need to find out exactly what your insurance covers. It’s important to review your plan with a qualified insurance specialist. Don’t be afraid to ask questions about the policy so you can understand it fully and be confident that you know everything your policy covers the next time you come in for treatment at our Creve Coeur or St. Charles office.